Some people eroticize about intimate examinations as part of a medical fetish, and as such are a common service offered by professional dominants. An intimate examination can form part of a scene in medical play where the nurse or doctor inflicts one or more embarrassing and humiliating quasi-medical procedures on the patient. Often frozen or heated objects are introduced to the patient's body to simulate the uncomfortable sensations that can occur during a real examination. Examinations may include an examination and intrusion of the anus, urethra, or vagina, as well as handling and twisting of the penis, testicles, clitoris, and nipples. Quite often, strap on play is also incorporated, as this can heighten the intimacy, and also the sensations of the "patient". This may be a prelude to masturbation or administration of an enema. Before examination, the patient can be placed in physical restraints and gagged, and wear some form of embarrassing clothing.
Temperature-taking fetishism
Temperature-taking fetish is a sexual fetish for oral and rectal thermometers. This may include the sexual attraction to the equipment, processes, environments, or scenarios/situations. The fetish is characterized by sexual arousal from the desire to take another person's temperature or have one's temperature taken. Although there is also an interest in oral temperature taking, rectal temperature taking is more prominent and often precedes enema play.
Enema fetishism
Enema fetishism is a sexual fetish for enemas and is a type of klismaphilia which is the general enjoyment of enemas. This fetish includes not only giving and receiving enemas but also attraction to the equipment and procedure. Role playing often accompanies these activities. Enemas can cause sexual arousal in both women and men because the bulbospongiosus muscle which starts in front of the anus contributes, in women, to clitoral erection and the contractions of orgasm, and closes the vagina, and in men, to erection, the contractions of orgasm, and ejaculation. Sexual sensation results from distention of the rectum by filling and dilating tit with the volume of an enema which, in women, puts pressure on the back of the vagina, and in men stimulates the prostate and seminal vesicles. Also, contractions of muscles throughout the abdomen caused by expulsion of an enema can stimulate, in women, the uterus and vagina, and in men, the prostate, seminal vesicle, and internal penis. Enemas are also, however, very embarrassing, with the exposure and probing of the most private of body parts, the anus. An erotic enema holds the possibility of acting out vulnerability in a primal form. Among the attractions to enema play are psychodrama, power exchange, erotic humiliation, discipline, and so on. BDSM punishment scenes can use extra-large volumes or highly irritating substances to produce pain and cramps. This fetish may include the sexual attraction to the equipment, processes, environments, situations, or scenarios, and some may be sexually aroused by the preparations, such as by the feel and smell of a latex rubber or plastic syringe, by the smell of soapsuds enema solution, or by preparing the recipient.
Anesthesia fetishism
Anesthesia fetishism is a sexual fetish for anesthesia. This may include the sexual attraction to the equipment, processes, substances, effects, environments or situations. Sexual arousal from the desire to administer anesthesia, or the sexual desire for oneself to be anesthetized are two forms in which an individual may exist as an arbiter of the fetish. Older-style anesthesia masks of black rubber, still in occasional use today, are one of the more common elements fetishized, and have earned the nickname Black Beauty by many fetishists.
Acts, behaviour and rituals
Anesthesia fetish is considered edgeplay when realised outside the boundaries of fantasy, and may result in various degrees of harm, or death. Fantasies are elaborated by the viewing of images and reading of stories of anesthetic inductions. Edgeplay may involve obtaining and scening with various anesthesia-related paraphernalia—usually anesthesia masks for breathplay, the acquisition of anesthetics for anesthetizing others or being anesthetized oneself, and the occupation of a medical setting or environment for the same practice. Some anesthesia fetishists who seek to be anesthetized may feign or induce medical conditions in an attempt to obtain general anesthesia from medical personnel. This is considered safer than playing with anesthetic agents outside of a medical setting.
